Samaritan Behavioral Health, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

503 Issued in OH

Legal business name

SAMARITAN BEHAVIORAL HEALTH, INC.

Practice address

2172 State Route 127 N
Eaton, OH 45320-9289

Phone

(937) 456-1915

Fax

(937) 456-2208

NPI assigned

May 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tabatha L Masters

Title

Billing

Phone

(937) 734-4334

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Samaritan Counseling Alternatives-Preble Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Samaritan Behavioral Health, Inc.

  • Clinic/Center
  • Dayton, OH
  • NPI 1205888641

  O20101007000860

  Same enrollment
• Samaritan Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1235490939

  O20101007000860

  Same enrollment
• Samaritan Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1629022330

  O20101007000860

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen K Adams

  • Case Manager/Care Coordinator
  • Dayton, OH
  • NPI 1730424920
  NPD (past)
• Amy C Raynes, PC

  • Professional Counselor
  • Eaton, OH
  • NPI 1639413917
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1811949894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173424",
            "telephone_number": "937-734-4334",
            "fax_number": "937-734-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 STATE ROUTE 127 N",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209289",
            "telephone_number": "937-456-1915",
            "fax_number": "937-456-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "937-734-4334"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Counseling Alternatives-Preble",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Samaritan Counseling Alternatives-Preble",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rogue Enterprises Inc
• Denee Rohrer
• Marlene Roos
• Derek M Ross, DDS
• Alexander J Roux, PA
• Peter A Sambol, DO
• Virginia Lynn Schellhaas
• Scott R. Vosler, D.O.
• Heather Kathleen Seymour, CASE MANAGER
• Steven Eugene Shafer, D.C.

• Clinic/Center in Eaton, OH
• Providers in Eaton, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.